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华西医学  2014 

宫颈癌淋巴结转移相关因素的分析

DOI: 10.7507/1002-0179.20140279, PP. 921-924

Keywords: 宫颈癌,淋巴结转移,临床分期,肿瘤病理类型,间质浸润深度

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Abstract:

目的 通过分析宫颈癌淋巴结转移与各临床病理因素的关系,探讨影响宫颈癌淋巴结转移的高危因素。方法 收集2005年1月-2010年12月间行手术治疗的136例临床ⅠA-ⅡA期宫颈癌患者的临床病理资料,将淋巴结转移与各临床病理因素之间的关系进行单因素χ2检验及多因素logistic回归分析。结果 总的淋巴结转移率为14.0%(19/136),其中以闭孔淋巴结转移为主(占63.2%),其次为髂内外淋巴结(占42.1%),而腹股沟深淋巴结、腹主动脉旁淋巴结均无转移。单因素分析显示临床分期、间质浸润深度、肿瘤病理类型、宫旁浸润、阴道浸润与淋巴结转移间具有相关性(P<0.05);而多因素分析显示仅临床分期、肿瘤病理类型、间质浸润深度与淋巴结转移相关。结论 临床分期、肿瘤病理类型、间质浸润深度为淋巴结转移的高危因素。

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